SNP Social Worker-Peak
Core
Clinical social worker supporting care management for members with severe mental health and social determinants of health needs within a Medicare Advantage plan.
Role type
Clinical social worker (care management)
Builds
Individualized care plans and behavioral health interventions for plan members
Domain
Healthcare / Behavioral Health / Medicare Advantage
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical social work licensure, behavioral health assessment, care plan development, regulatory compliance (CMS/NCQA), community resource coordination, telephonic assessment, case documentation, interdisciplinary collaboration
Preferred skills
LICSW certification (West Virginia), management of Medicare/Medicaid populations, 2+ years behavioral health experience
Technologies
Microsoft Office
Responsibilities
Perform telephonic behavioral health comprehensive assessments; develop individualized care plans; screen, identify, diagnose, and treat mental health/substance abuse problems; recognize early signs of decompensation; serve as primary socio-economic resource; collaborate with interdisciplinary teams for community resource assistance; document cases accurately; adhere to CMS and regulatory guidelines
Seniority
Mid-level, hands-on IC